Jennifer Childers PA-C

NPI 1033461447 - Physician Assistant - 363A00000X

NPI Details
NPI 1033461447
Gender Female
Enumeration Date 10/09/2012
Last Updated 10/16/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
472 W POPLAR AVE STE 200
COLLIERVILLE TN, 38017-2538, US
Phone (901) 850-1150
Fax
Business Location
4135 BOBBITT RD
WILLISTON TN, 38076-3303, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number 2208
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According to our database, Mrs. Jennifer Childers PA-C NPI is 1033461447, taxonomy code is 363A00000X and license number is 2208, license state is located at Tennessee. Jennifer Childers PA-C physically located at 472 W Poplar Ave Ste 200, Collierville TN, 38017-2538. NPI Number Jennifer Childers PA-C has the Individual type.

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1033461447 NPI number is provided on an as is basis without warranty of any kind. 1033461447 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Childers PA-C are for informational purposes only.